Active NPI
Anita Wong
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1366851412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307030
- Practice address
- 139 Centre St
Suite #203
New York, NY 10013-4552 - Phone
- (212) 227-2943
- Fax
- (212) 227-2947
- NPI assigned
- Aug 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307030 | NY | Primary |
Addresses
Primary practice location
139 Centre St
Suite #203
New York, NY 10013-4552
Mailing address
139 Centre St
Suite #203
New York, NY 10013-4552
Phone (212) 227-2943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1366851412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 CENTRE ST",
"address_2": "SUITE #203",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134552",
"telephone_number": "212-227-2943",
"fax_number": "212-227-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST",
"address_2": "SUITE #203",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134552",
"telephone_number": "212-227-2943",
"fax_number": "212-227-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ANITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-02",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.